Deficiency Records for Spring Valley Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Spring Valley Health and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-21 | 2024-01-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-21 | 2024-01-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-12-21 | 2024-01-31 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-12-21 | 2024-01-31 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-21 | 2024-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-21 | 2024-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-21 | 2024-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-01-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-21 | 2024-01-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-21 | 2024-01-31 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-12-21 | 2024-01-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-21 | 2024-01-31 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-12-21 | 2024-01-31 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-12-21 | 2024-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-21 | 2024-01-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-21 | 2024-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-12-21 | 2024-01-31 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-12-21 | 2024-01-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-12-21 | 2024-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-21 | 2024-01-31 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-12-21 | 2024-01-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-21 | 2024-01-31 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-12-21 | 2024-01-31 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-12-05 | 2024-01-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-05 | 2024-01-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-15 | 2023-03-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-15 | 2023-03-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-10 | 2023-02-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-31 | 2022-09-28 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-08-31 | 2022-09-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-31 | 2022-09-28 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-08-31 | 2022-09-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-28 | 2022-07-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-10 | 2022-02-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-17 | 2022-02-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-21 | 2022-01-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-21 | 2022-01-16 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-11-17 | 2021-12-29 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-17 | 2021-10-28 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-05-17 | 2021-10-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-17 | 2021-10-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-05-17 | 2021-10-26 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-09-15 | 2021-10-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-15 | 2021-10-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-09-15 | 2021-10-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-22 | 2021-10-26 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-05-17 | 2021-09-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-05-17 | 2021-07-29 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-07-22 | 2021-07-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-17 | 2021-06-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-17 | 2021-06-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-05-17 | 2021-06-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-05-17 | 2021-06-14 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-05-17 | 2021-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-17 | 2021-06-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-17 | 2021-06-14 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-05-17 | 2021-06-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-17 | 2021-06-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-17 | 2021-06-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-17 | 2021-06-11 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-17 | 2021-05-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-17 | 2021-05-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-05-17 | 2021-05-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-07 | 2019-06-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-07 | 2019-06-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-05-07 | 2019-06-20 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-05-07 | 2019-06-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-07 | 2019-06-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-07 | 2019-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-07 | 2019-06-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-07 | 2019-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-07 | 2019-06-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-07 | 2019-06-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-05-07 | 2019-06-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-07 | 2019-06-20 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-05-07 | 2019-06-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-07 | 2019-06-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-07 | 2019-06-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-07 | 2019-06-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-07 | 2019-06-20 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-05-07 | 2019-06-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-05-07 | 2019-06-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-05-07 | 2019-06-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-07 | 2019-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-07 | 2019-06-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-07 | 2019-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-07 | 2019-06-19 | N |
